Event Registration
4/22/2020 4:00 PM - 6:00 PM <a href=" " target="_blank">Zoom Meeting</a>
Sold Out?
SOLD OUT
Available
Sorry! This event is sold out. If you still wish to support our work, please consider
making a donation
.
Choose your ticket price
To make this event accessible to all, tickets are offered on a sliding scale with a $15 suggested donation. Please enter the amount you wish to pay
per ticket
.
Suggested donation: $15 per ticket
Amount
per ticket
$
Number of tickets
Please select...
1
2
3
4
5
6
Would you like to make an additional donation to Blue Water Baltimore?
Yes
No
Donation Amount
$
Thank you!
Connector Fields
Campaign ID
Prefill Event Name
Campaign GAU
Ticket Level ID
Ticket Product ID
Tickets Remaining
Summary
Total Tickets:
Registration:
$
Donation:
$
Total
$
Contact Information
First Name
Last Name
Email Address
Phone Number
Billing Information
Street Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
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IA
KS
KY
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ME
MD
MA
MI
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MS
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MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
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SC
SD
TN
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VA
WA
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WI
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DC
Zip Code
Credit Card
Credit Card Number
Expiration Date
Month
Please select...
01
02
03
04
05
06
07
08
09
10
11
12
Year
Please select...
2019
2020
2021
2022
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2024
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2028
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2030
Security Code
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Hidden Fields
Fields in this section may be controlled by Connectors or custom code.
Skip billing?
Yes
No
Authnet_Hidden_Fields
Contact Information